Equipment Request Form

Please complete the following form to reserve Audio Visual equipment. When complete, click SUBMIT at the bottom of the form. Audio Visual staff will review your request, check for equipment availability and email confirmation to the user name provided.

*Equipment reservations require an advance notice of two business days to allow for proper scheduling, staffing, and maintenance. Same day requests and checkout are not possible. Please see our POLICIES page for more information.

Need help filling out this form? Watch the Equipment Request Form Training Video.

For Emergency AV support, call our office at 724-946-7188.
Weekdays after 4:30 PM or on weekends, call 724-610-9228.


General Information

* Your Network Username
 * Best Phone Number to Reach You
 * Billing Account or Student ID

* Name of Event or Class
 * Expected Attendance (estimate)

* Location of Event
 * Room Number

* Event Start
 * Event Start Time

* Event End
 * Event End Time

If possible, I would like to:

pick up this equipment on at

have this equipment set up on before

be trained on proper use of this equipment on pickup/setup.

Please include any additional helpful information, special instructions, information on setup location, etc. in this box:


Event Information

This section is required for any event that is not a registered Westminster College class. If your request is for a registered class, please skip to the next section.

Sponsoring group for this event
 Equipment operator network username

Admission or entrance fee per attendee
 Who may attend this event?
 Who may not attend this event?

Please provide a detailed description of your event, its purpose, and how it will benefit your audience:


What arrangements have been made with other campus offices? (Physical Plant, Security, Registrar, Student Affairs, Dining Services, etc.):


What applicable copyright or licensing documents have you acquired? (AV may request copies of these documents.):


Equipment

To view more information about a piece of equipment, click on the equipment name.

Audio Players/Recorders

Audio Cassette Recorder

CD Recorder/Player

CD/Audio Cassette Player

WAV/MP3 Compact Digital Recorder

Recording Accessories
Compact Flash Memory Card

Headphones

SD Memory Cards
1 GB SD Card

16 GB SD Card

32 GB SD Card

8 GB SD Card

BC Students Only

VJ HD Tripod

VJ HD Video Camera

* BC students should see Mr. Borts for MiniDV tapes, or provide their own SD cards.

Cables

DVI

Extension Cord

Firewire

HDMI

Mini Audio

Mini Audio Extension

Network Cable

Power Strip/Surge Protector

S-Video

USB

VGA

VGA/Mini Audio

XLR

Conversion Cables

1/4" Female to 1/4" Female

Apple HDMI to VGA Adaptor

Microphone Converter

VGA Distribution Amplifier

VGA Splitter

XLR Female to 1/4" Male

XLR Female to Mini Male

XLR Female to RCA Male

XLR Female to XLR Female

XLR Male to 1/4" Female

XLR Male to RCA Female

XLR Male to XLR Male

Apple Converters
Apple HDMI to VGA Adaptor

Mini DisplayPort-VGA adaptor for MacBook

iPad/Mac - Composite

iPad/iPhone 4/iPod Touch to Camera/USB Drive

iPad/iPhone 4/iPod Touch to HDMI

iPad/iPhone 4/iPod Touch to SD card

iPad/iPhone 4/iPod Touch to VGA

mini DVI-VGA Adapter for MacBook

Laptops & Accessories

Laptop Computer

Accessories
Network Cable

Wireless Laptop Presentation Remote

McKelvey Witherspoon Equipment

NOTE: It is not necessary to reserve existing accessible equipment (DVD player, ceiling mounted projectors, and screens,) in Witherspoon.  Podiums must be reserved through Physical Plant.
To reserve any additional AV equipment (laptops, mics, document cameras, etc.) here:

Laptop Computer

Laser Pointer

Standing Large Easel

Touch Panel-Portable

Wireless Laptop Presentation Remote

Microphones
Floor Stand

Handheld Wired Microphone

Handheld Wireless

Lapel

Podium Microphone

Table Stand

Cables
Extension Cord

VGA/Mini Audio

XLR

* Please see other headings for additional equipment.

Microphones

Conference Microphone

Handheld Wired Microphone

Headset Microphone

Lapel

Microphone Converter

Podium Microphone

Shotgun Microphone

USB Microphone

Stands
Floor Stand

Table Stand

Accessories
Microphone Adapter

Miscellaneous

Apple TV
In order to connect to the Apple TV, your iDevice must be connected to the Wifi network "WC-Collaborate". This needs to be communicated with Don Goodlin the Telecommunications & Network Engineer. To connect the Apple TV to an Analog System, the Kanex HDMI to VGA/Mini audio converter is required.

Document Camera

Headphones

Laser Pointer

Response Clicker Kit

Response Clicker Kit (Fill in the blank and numeric capable)

Speaker Phone (Analog)

Speaker Phone (Digital)

Teleprompter

Wattage Counter

Wheeled Cart (No Equipment)

SD Memory Cards
1 GB SD Card

8 GB SD Card

16 GB SD Card

32 GB SD Card

Easels
Flipchart Easel

Standing Large Easel

Tabletop Easel

Flash Drive
32 GB Flash Drive

Photo/Video Cameras & Accessories

Photographic Cameras
Canon Powershot

Canon Rebel

Lytro

Video Cameras
Standard Definition
Canon GL1

FLIP

Panasonic PV-GS300

VHS

High Definition
Canon Rebel

FLIP

Kodak Playsport

Kodak Zi8

Panasonic HPC-TM700

Accessories
Collapsible Photo Lightbox

Light Meter

Photo Flood Kit

Photo Flood Light

Reflector

Shotgun Microphone

Tripod

Tripod Dolly

Backdrops
Green

Red

Support System

White

SD Memory Cards
1 GB SD Card

16 GB SD Card

32 GB SD Card

8 GB SD Card

Video Tapes for Purchase
120 min VHS tape

63 Mini DV tape

Playback Decks

Blu-ray Player

DVD Player

DVD Player-Region Free

Laser Disc Player

VHS/DVD Combo Deck

Portable Presentation Carts

FPC-Flat Panel Cart

PSC - Portable Smart Classroom
Portable smart classrooms may be signed out in advance in accordance with the rules listed next to the sign-out calendar from the following locations:

Patterson Studio AA, Patterson 327,
Russell Art Rooms, Hoyt 200, Old Main 316

Wheeled Cart (No Equipment)

Projection Devices & Screens

Projection Devices
Overhead Transparency Projector

PSC - Portable Smart Classroom
Portable smart classrooms may be signed out in advance in accordance with the rules listed next to the sign-out calendar from the following locations:

Patterson Studio AA, Patterson 327,
Russell Art Rooms, Hoyt 200, Old Main 316

Slide Projector

Video Projector

Screens
12 ft Venue Screen
Restrictions Apply

7 ft Portable Projection Screen

Accessories
Laser Pointer

Projector Stand

Wheeled Cart (No Equipment)

Wireless Laptop Presentation Remote

Public Address System - Restrictions Apply

Audio Amplifier/Mixer-Portable Battery

Audio Amplifier/Mixer-Portable Electric

Public Address System
Restrictions Apply - See Policy Page

(Restrictions apply.)



Please review the submission agreement below, and type your first and last name in the following boxes to indicate that you have read and agree to the terms.

By submitting this form, I understand that these requests are reviewed individually by the department of Audio Visual Services in the order they are submitted. I also understand that upon review of availability and current college policy, a determination will be made if AV can meet my needs, at which time I will be notified by e-mail. I understand AV does not provide service or take responsibility for any equipment provided by others.

I understand that I will accept any equipment approved for this request in good working condition with all accessories as listed. I will use said equipment only for the event listed in a legal, responsible, proper, and safe manner. It is my responsibility to know and understand permitted uses and limitations outlined by federal, state and local laws as applicable. This equipment will be under my control at all times. I take full responsibility (financial and otherwise) for replacement, repair, and return of said equipment if it is lost, stolen, damaged, or otherwise misplaced or rendered unusable in any way. This includes any instance wherein another party gains access to said equipment, with or without my knowledge or approval. I will return said equipment by the required return date and time listed in the confirmation email, and will return it only to the Westminster College Audio Visual Department. I understand that there is a time limit on my use of this equipment, and that fines will be charged as posted for any overdue returns. I also understand that I may request a single extension for the return of this equipment prior to the due date, that requesting an extension does not mean it is approved, that AV approval for all extensions is necessary, and that requesting an extension will not absolve me from fines previously accumulated. I hereby certify that I am competent to contract in my own name in so far as the above is concerned. I have read this agreement before affixing my signature below, and warrant that I fully understand and agree to the contents thereof.

* First Name
 * Last Name




* - Required